25,418 results match your criteria Anesthesiology[Journal]


Perioperative Neurocognitive Disorder: Comment.

Anesthesiology 2020 May 20. Epub 2020 May 20.

Sapienza Università di Roma, Roma, Italy (G.G.).

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http://dx.doi.org/10.1097/ALN.0000000000003362DOI Listing

Perioperative Neurocognitive Disorder: Reply.

Anesthesiology 2020 May 20. Epub 2020 May 20.

University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania (R.G.E.).

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http://dx.doi.org/10.1097/ALN.0000000000003363DOI Listing

Intraoperative Circuit Leak Likely Caused by Surgical Prep.

Anesthesiology 2020 May 20. Epub 2020 May 20.

From the Department of Anesthesiology, Asahi General Hospital, Asahi City, Japan.

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http://dx.doi.org/10.1097/ALN.0000000000003382DOI Listing

Isoflurane Exposure in Juvenile Caenorhabditis elegans Causes Persistent Changes in Neuron Dynamics.

Anesthesiology 2020 May 21. Epub 2020 May 21.

From the Department of Physiology and Biophysics, Boston University School of Medicine, Boston, Massachusetts (G.S.W., C.V.G., C.W.C.) the Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, Massachusetts (C.W.C.).

Background: Animal studies demonstrate that anesthetic exposure during neurodevelopment can lead to persistent behavioral impairment. The changes in neuronal function underlying these effects are incompletely understood. Caenorhabditis elegans is well suited for functional imaging of postanesthetic effects on neuronal activity. Read More

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http://dx.doi.org/10.1097/ALN.0000000000003335DOI Listing

Awake intubation and extraluminal use of Uniblocker for one-lung ventilation in a patient with a large mediastinal mass a case report.

BMC Anesthesiol 2020 May 25;20(1):125. Epub 2020 May 25.

Department of Anesthesiology, The First Hospital of Qinhuangdao, N.O. 258, Wenhua Road, Qinhuangdao, Hebei, China.

Background: The anesthesia of patients with large mediastinal mass is at high-risk. Avoidance of general anesthesia in these patients is the safest option, if this is unavoidable, maintenance of spontaneous ventilation is the next safest technique. In these types of patients, it is not applicable to use double-lumen tube (DLT) to achieve one-lung ventilation (OLV) because the DLT has a larger diameter and is more rigid than single-lumen tube (SLT), so the mass may rupture and bleed during intubation. Read More

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http://dx.doi.org/10.1186/s12871-020-01041-7DOI Listing

Differential effects and mechanisms of local anesthetics on esophageal carcinoma cell migration, growth, survival and chemosensitivity.

BMC Anesthesiol 2020 May 25;20(1):126. Epub 2020 May 25.

Department of Anesthesiology, The First Affiliated Hospital of Yangtze University, Hangkong Road 8, Jingzhou, 434020, Hubei Province, China.

Background: Retrospective analysis and pre-clinical studies suggest that local anesthetics have anti-tumoral effects. However, the association between cancer recurrence and the use of local anesthesia is inconclusive and most reports are based on single local anesthetic results.

Methods: The biological effects (growth, migration and survival) of four common local anesthetics on esophageal carcinoma cells were compared. Read More

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http://dx.doi.org/10.1186/s12871-020-01039-1DOI Listing

Impact of changes in head position during head and neck surgery on the depth of tracheal tube intubation in anesthetized children.

Authors:
Siyi Yan Huan Zhang

BMC Anesthesiol 2020 May 24;20(1):124. Epub 2020 May 24.

Department of Anesthesiology, Beijing Tsinghua Changgung Hospital, No.168, LiTang Road, ChangPing District, Beijing, China.

Background: The classic formula has been used to estimate the depth of tracheal tube intubation in children for decades. However, it is unclear whether this formula is applicable when the head and neck position changes intraoperatively.

Methods: We prospectively reviewed the data of 172 well-developed children aged 2-12 years (64. Read More

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http://dx.doi.org/10.1186/s12871-020-01033-7DOI Listing

Effectivity of benzydamine hydrochloride gargle to reduce propofol consumption in endoscopic retrograde cholangiopancreatography procedure: a randomized controlled trial.

BMC Anesthesiol 2020 May 23;20(1):123. Epub 2020 May 23.

Department of Anesthesiology and Intensive Care, Faculty of Medicine, Universitas Indonesia - Cipto Mangunkusumo General Hospital, Pangeran Diponegoro Street No. 71, Jakarta, Indonesia.

Background: Endoscopic Retrograde Cholangiopancreatography (ERCP) is a complex endoscopic procedure that requires moderate to deep sedation. Propofol is the sedative agent of choice for sedation in ERCP due to its fast distribution and fast elimination time without a cumulative effect after infusion, resulting in shorter recovery time. Benzydamine hydrochloride is a topical non-steroidal anti-inflammatory drug that has analgesic, local anesthetic, and anti-inflammatory effects that have been known to be effective in reducing postoperative sore throat. Read More

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http://dx.doi.org/10.1186/s12871-020-00996-xDOI Listing

"Please mind the gap": successful use of ultrasound-assisted spinal anesthesia for urgent cesarean section in a patient with implanted spinal cord stimulation system for giant chest wall arteriovenous malformation - a case report.

BMC Anesthesiol 2020 May 23;20(1):122. Epub 2020 May 23.

Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Scienze dell'Emergenza, Anestesiologiche e della Rianimazione, Largo A. Gemelli 8, 00168, Rome, Italy.

Background: The use of Spinal Cord Stimulation (SCS) system to treat medically refractory neuropathic pain is increasing. Severe neuropathic pain can be found in giant chest wall arteriovenous malformations (AVMs), exceedingly rare and debilitating abnormalities, rarely reported during pregnancy.

Case Presentation: We present a report of a pregnant patient with implanted Spinal Cord Stimulation (SCS) system because of painful thoracic AVM scheduled for an urgent cesarean section in which we used lumbar ultrasound (US) to rule out the possibility to damage SCS electrodes and to find a safe site to perform spinal anesthesia. Read More

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http://dx.doi.org/10.1186/s12871-020-01042-6DOI Listing

Airway management in children with hemifacial microsomia: a restropective study of 311 cases.

BMC Anesthesiol 2020 May 20;20(1):120. Epub 2020 May 20.

Department of Anesthesiology, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, 167 North Lishi Road, XiCheng District, Beijing, 100037, China.

Background: Hemifacial microsomia (HFM) is a congenital craniofacial malformation which is associated with difficult airway. Anesthesiologists may experience difficult intubation in children with HFM. Mandibular distraction could increase the length of the mandible. Read More

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http://dx.doi.org/10.1186/s12871-020-01038-2DOI Listing

Effect of sevoflurane and propofol on tourniquet-induced endothelial damage: a pilot randomized controlled trial for knee-ligament surgery.

BMC Anesthesiol 2020 May 20;20(1):121. Epub 2020 May 20.

Program of Cellular and Molecular Biology, Institute of Biomedical Sciences (ICBM), Faculty of Medicine, Universidad de Chile, Santiago, Chile.

Background: The glycocalyx layer is a key structure in the endothelium. Tourniquet-induced ischemic periods are used during orthopedic surgery, and the reactive oxygen species generated after ischemia-reperfusion may mediate the shedding of the glycocalyx. Here, we describe the effects of tourniquet-induced ischemia-reperfusion and compare the effects of sevoflurane and propofol on the release of endothelial biomarkers after ischemia-reperfusion in knee-ligament surgery. Read More

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http://dx.doi.org/10.1186/s12871-020-01030-wDOI Listing

GlideScope® versus C-MAC®(D) videolaryngoscope versus Macintosh laryngoscope for double lumen endotracheal intubation in patients with predicted normal airways: a randomized, controlled, prospective trial.

BMC Anesthesiol 2020 May 20;20(1):119. Epub 2020 May 20.

Department of Anesthesiology, Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, 200001, China.

Background: The double lumen endotracheal tube (DLT) is the most widely-used device for single lung ventilation in current thoracic anesthesia practice. In recent years, the routine application of the videolaryngoscope for single lumen endotracheal intubation has increased; nevertheless there are few studies of the use of the videolaryngoscope for DLT. We wondered whether there were benefits to using the videolaryngoscope for DLT placement in patients with predicted normal airways. Read More

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http://dx.doi.org/10.1186/s12871-020-01012-yDOI Listing

Plastic Bronchitis.

Anesthesiology 2020 May 15. Epub 2020 May 15.

From the Department of Pediatric Anesthesiology and Department of Outcomes Research (S.C.) Department of Cardiothoracic Anesthesiology, Department of General Anesthesiology and Department of Outcomes Research (S.K.), Anesthesiology Institute, Cleveland Clinic Foundation, Cleveland, Ohio.

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http://dx.doi.org/10.1097/ALN.0000000000003381DOI Listing

Preoperative Fluid Fasting Times and Postinduction Low Blood Pressure in Children: A Retrospective Analysis.

Anesthesiology 2020 May 15. Epub 2020 May 15.

From the Departments of Anesthesiology and Critical Care Medicine (A.F.S., L.W., O.N., J.A.G., J.M.T., J.O.W., W.T.M., F.-C.T., A.J.M., P.A.S.) Biomedical and Health Informatics (A.F.S., L.W., J.A.G., J.M.T., J.O.W., F.-C.T., A.J.M.) Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; and the Department of Anesthesiology and Critical Care, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania (A.F.S., J.A.G., J.M.T., J.O.W., W.T.M., F.-C.T., A.J.M., P.A.S.).

Background: Children are required to fast before elective general anesthesia. This study hypothesized that prolonged fasting causes volume depletion that manifests as low blood pressure. This study aimed to assess the association between fluid fasting duration and postinduction low blood pressure. Read More

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http://dx.doi.org/10.1097/ALN.0000000000003343DOI Listing

Enhanced Recovery after Lumbar Spine Fusion: A Randomized Controlled Trial to Assess the Quality of Patient Recovery.

Anesthesiology 2020 May 18. Epub 2020 May 18.

From the Departments of Anesthesiology, Critical Care and Pain Management, (E.M.S., J.D.B., A.T., M.U., C.R.G., J.A.N., I.F.A., S.G.M.) Orthopedic Surgery (R.C.H., H.-J.K., F.P.C., F.J.S.) the Biostatistics Core (H.Z.), Hospital for Special Surgery, New York, New York; and Weill Cornell Medical College, New York, New York.

Background: Prospective trials of enhanced recovery after spine surgery are lacking. We tested the hypothesis that an enhanced recovery pathway improves quality of recovery after one- to two-level lumbar fusion.

Methods: A patient- and assessor-blinded trial of 56 patients randomized to enhanced recovery (17 evidence-based pre-, intra-, and postoperative care elements) or usual care was performed. Read More

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http://dx.doi.org/10.1097/ALN.0000000000003346DOI Listing

Dorsal Root Ganglion Stimulation Alleviates Pain-related Behaviors in Rats with Nerve Injury and Osteoarthritis.

Anesthesiology 2020 May 18. Epub 2020 May 18.

From the Department of Anesthesiology, Medical College of Wisconsin, Milwaukee, Wisconsin (G.Y., I.S., Z.Z., Q.H.H., B.P.) the Department of Colon and Rectal Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou City, Henan, China (Z.Z.).

Background: Dorsal root ganglion field stimulation is an analgesic neuromodulation approach in use clinically, but its mechanism is unknown as there is no validated animal model for this purpose. The authors hypothesized that ganglion stimulation is effective in reducing pain-like behaviors in preclinical chronic pain models.

Methods: The authors provided ganglion stimulation or spinal cord stimulation to rats with traumatic neuropathy (tibial nerve injury), or osteoarthritis induced by intraarticular knee monosodium iodoacetate, or without injury (naïve). Read More

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http://dx.doi.org/10.1097/ALN.0000000000003348DOI Listing

Troponin I as a mortality marker after lung resection surgery - a prospective cohort study.

BMC Anesthesiol 2020 May 19;20(1):118. Epub 2020 May 19.

Heart Institute (InCor) do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Rua Maestro Elias Lobo 596, São Paulo, SP, CEP 01433-000, Brazil.

Background: Cardiovascular complications associated with thoracic surgery increase morbidity, mortality, and treatment costs. Elevated cardiac troponin level represents a predictor of complications after non-cardiac surgeries, but its role after thoracic surgeries remains undetermined. The objective of this study was to analyze the relationship between troponin I elevation and morbidity and mortality after one year in patients undergoing lung resection surgery. Read More

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http://dx.doi.org/10.1186/s12871-020-01037-3DOI Listing

Sevoflurane versus PRopofol combined with Remifentanil anesthesia Impact on postoperative Neurologic function in supratentorial Gliomas (SPRING): protocol for a randomized controlled trial.

BMC Anesthesiol 2020 May 19;20(1):117. Epub 2020 May 19.

Department of Anesthesiology, Beijing Tiantan Hospital, Capital Medical University, No.119, West Road 4th ring South, Fengtai District, Beijing, 100070, China.

Background: Patients with intracranial tumors are more sensitive to anesthetics than the general population and are therefore more susceptible to postoperative neurologic and neurocognitive dysfunction. Sevoflurane or propofol combined with remifentanil are widely used general anesthetic regimens for craniotomy, with neither regimen shown to be superior to the other in terms of neuroprotective efficacy and anesthesia quality. There is no evidence regarding the variable effects on postoperative neurologic and neurocognitive functional outcome under these two general anesthetic regimens. Read More

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http://dx.doi.org/10.1186/s12871-020-01035-5DOI Listing
May 2020
1.333 Impact Factor

Getting to a New Normal: Mandating That Patients Wear Masks as Hospitals Fully Reopen during the Coronavirus Pandemic.

Anesthesiology 2020 May 14. Epub 2020 May 14.

Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania (L.A.F.).

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http://dx.doi.org/10.1097/ALN.0000000000003386DOI Listing

Videolaryngoscopy Intubation in Patients with COVID-19: How to Minimize Risk of Aerosolization?

Anesthesiology 2020 May 20. Epub 2020 May 20.

King Fahad Specialist Hospital, Dammam, Saudi Arabia. (A.Z.).

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http://dx.doi.org/10.1097/ALN.0000000000003389DOI Listing

Cannabis use is associated with a small increase in the risk of postoperative nausea and vomiting: a retrospective machine-learning causal analysis.

BMC Anesthesiol 2020 May 18;20(1):115. Epub 2020 May 18.

Department of Anesthesiology and Pain Medicine, University of Washington, Box 356540, 1959 NE Pacific St, Seattle, WA, 98195, USA.

Background: Cannabis legalization may contribute to an increased frequency of chronic use among patients presenting for surgery. At present, it is unknown whether chronic cannabis use modifies the risk of postoperative nausea and vomiting (PONV).

Methods: This study was a retrospective cohort study conducted at 2 academic medical centers. Read More

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http://dx.doi.org/10.1186/s12871-020-01036-4DOI Listing

The effect of transversus abdominis plane block on the chronic pain after colorectal surgery: a retrospective cohort study.

BMC Anesthesiol 2020 May 18;20(1):116. Epub 2020 May 18.

Department of Anesthesiology, The Third Xiangya Hospital of Central South University, Changsha, 410013, Hunan, China.

Background: Chronic postsurgical pain (CPSP) is common and would reduce the quality of life of patients. Transversus abdominal plane (TAP) block has been widely used in lower abdominal surgery and many researches demonstrated that it could improve acute postsurgical pain. We aim to determine whether TAP block could improve chronic postoperative pain at 3 months and 6 months after colorectal surgery. Read More

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http://dx.doi.org/10.1186/s12871-020-01032-8DOI Listing

Management of the Traumatic Airway Obstructed by Foreign Body.

Anesthesiology 2020 May 12. Epub 2020 May 12.

From the Department of Anesthesia, Emory University, Atlanta, Georgia.

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http://dx.doi.org/10.1097/ALN.0000000000003344DOI Listing

Priming Cardiopulmonary Bypass in Pediatric Surgery: Reply.

Anesthesiology 2020 05 12. Epub 2020 May 12.

Cliniques Universitaires Saint Luc, Université Catholique de Louvain, Brussels, Belgium (M.M.).

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http://dx.doi.org/10.1097/ALN.0000000000003352DOI Listing

Practice Guidelines for Central Venous Access: Comment.

Anesthesiology 2020 May 12. Epub 2020 May 12.

Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal.

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http://dx.doi.org/10.1097/ALN.0000000000003350DOI Listing

Priming Cardiopulmonary Bypass in Pediatric Surgery: Comment.

Anesthesiology 2020 May 12. Epub 2020 May 12.

Centre Hospitalier Universitaire Brugmann and Hôpital Universitaire des Enfants Reine Fabiola, Brussels, Belgium (D.S.).

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http://dx.doi.org/10.1097/ALN.0000000000003351DOI Listing

Practice Guidelines for Central Venous Access: Reply.

Anesthesiology 2020 05 12. Epub 2020 May 12.

University of Chicago Medical Center, Chicago, Illinois (J.L.A.).

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http://dx.doi.org/10.1097/ALN.0000000000003349DOI Listing

Dexmedetomidine Activation of Dopamine Neurons in the Ventral Tegmental Area Attenuates the Depth of Sedation in Mice.

Anesthesiology 2020 May 12. Epub 2020 May 12.

From the Department of Anesthesiology, First Affiliated Hospital of Anhui Medical University, Hefei, China (G.Q., Y.W., Y.L.) School of Life Science and Technology, ShanghaiTech University, Shanghai, China (X.Z., J.H.) Department of Anesthesiology and Perioperative Medicine, Xijing Hospital, The Fourth Military Medical University, Xi'an, Shanxi, China (L.L., H.D.) Chinese Institute for Brain Research, Beijing, China (W.S.) Department of Anesthesiology, International Peace Maternity and Child Health Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China (Z.Y.) Department of Anesthesiology, Anhui No. 2 Provincial People's Hospital, Hefei, Anhui, China (Y.W.) Coinnovation Center of Neuroregeneration, Nantong University, Nantong, China (J.H.).

Background: Dexmedetomidine induces a sedative response that is associated with rapid arousal. To elucidate the underlying mechanisms, the authors hypothesized that dexmedetomidine increases the activity of dopaminergic neurons in the ventral tegmental area, and that this action contributes to the unique sedative properties of dexmedetomidine.

Methods: Only male mice were used. Read More

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http://dx.doi.org/10.1097/ALN.0000000000003347DOI Listing

Sevoflurane Enhances Proliferation, Metastatic Potential of Cervical Cancer Cells via the Histone Deacetylase 6 Modulation In Vitro.

Anesthesiology 2020 Jun;132(6):1469-1481

From the Department of Obstetrics and Gynecology, the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province, China (W.Z., B.S., S.C., X.Z.) Anesthetics, Pain Medicine and Intensive Care, Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, Chelsea and Westminster Hospital, London, United Kingdom (W.Z., H.Z., L.W., Y.S., J.C., D.M.) the Department of Anesthesiology and Critical Care Medicine, Peking University First Hospital, Beijing, China (Y.S.).

Background: Sevoflurane is commonly used for cervical cancer surgery, but its effect on cervical cancer cell biology remains unclear. This mechanistic study explores how sevoflurane affects the proliferation and metastatic potential of immortalized cervical cancer cell lines.

Methods: Cultured cervical cancer Caski and HeLa lines were exposed to 1, 2, or 3% sevoflurane for 2 or 4 h. Read More

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http://dx.doi.org/10.1097/ALN.0000000000003129DOI Listing

Association of Surgical Hospitalization with Brain Amyloid Deposition: The Atherosclerosis Risk in Communities-Positron Emission Tomography (ARIC-PET) Study.

Anesthesiology 2020 Jun;132(6):1407-1418

From the Departments of Neurology (K.A.W., R.F.G.) Radiology (D.F.W.) Anesthesiology (C.H.B.), Johns Hopkins School of Medicine, Baltimore, Maryland the Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland (R.F.G., J.C., A.R.S.) the Department of Neurology, Mayo Clinic, Rochester, Minnesota (D.S.K.) Department of Medicine, Division of Geriatrics, University of Mississippi Medical Center, Jackson, Mississippi (T.H.M.) the Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia (A.A.) the Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri (Y.Z.).

Background: As more older adults undergo surgery, it is critical to understand the long-term effects of surgery on brain health, particularly in relation to the development of Alzheimer's disease. This study examined the association of surgical hospitalization with subsequent brain β-amyloid deposition in nondemented older adults.

Methods: The Atherosclerosis Risk in Communities-Positron Emission Tomography (ARIC-PET) study is a prospective cohort study of 346 participants without dementia who underwent florbetapir PET imaging. Read More

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http://dx.doi.org/10.1097/ALN.0000000000003255DOI Listing
June 2020
5.879 Impact Factor

Comparison of C-MAC D-blade videolaryngoscope and McCoy laryngoscope efficacy for nasotracheal intubation in simulated cervical spinal injury: a prospective randomized comparative study.

BMC Anesthesiol 2020 May 14;20(1):114. Epub 2020 May 14.

Department of anesthesiology and pain medicine, Hallym University Sacred Heart Hospital, Hallym University School of Medicine, 22, Gwanpyeong-ro 170 beon-gil, Dong-gu, Anyang-si, Gyeonggi-do, 14068, Republic of Korea.

Background: Immobilization with cervical spine worsens endotracheal intubation condition. Though various intubation devices have been demonstrated to perform well in oral endotracheal intubation, limited information is available concerning nasotracheal intubation (NTI) in patients with cervical spine immobilization. The present study compared the performance of the C-MAC D-Blade videolaryngoscope with the McCoy laryngoscope for NTI in patients with simulated cervical spine injuries. Read More

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http://dx.doi.org/10.1186/s12871-020-01021-xDOI Listing

Local Sympathectomy Promotes Anti-inflammatory Responses and Relief of Paclitaxel-induced Mechanical and Cold Allodynia in Mice.

Anesthesiology 2020 Jun;132(6):1540-1553

From the Pain Research Center, Department of Anesthesiology, University of Cincinnati College of Medicine, Cincinnati, Ohio (R.T., W.X., S.H.L., M.W., X.L., J.A.S., J.-M.Z., T.B.) Department of Pathogen Biology, Medical College, Nantong University, Nantong, Jiangsu, China (X.L.).

Background: Patients undergoing cancer treatment often experience chemotherapy-induced neuropathic pain at their extremities, for which there is no U.S. Food and Drug Administration-approved drug. Read More

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http://dx.doi.org/10.1097/ALN.0000000000003241DOI Listing

Alypin: An Antithetical Anesthetic.

Authors:

Anesthesiology 2020 Jun;132(6):1527

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http://dx.doi.org/10.1097/ALN.0000000000003360DOI Listing

This Month in Anesthesiology.

Authors:

Anesthesiology 2020 Jun;132(6):A1-A2

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http://dx.doi.org/10.1097/ALN.0000000000003354DOI Listing

Considerations for Assessing Risk of Provider Exposure to SARS-CoV-2 after a Negative Test.

Anesthesiology 2020 May 20. Epub 2020 May 20.

University of Washington, Seattle, Washington (W.V.C.).

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http://dx.doi.org/10.1097/ALN.0000000000003392DOI Listing

Incidence and Classification of Nonroutine Events during Anesthesia Care.

Anesthesiology 2020 May 7. Epub 2020 May 7.

From the Geriatric Research Education and Clinical Center, Tennessee Valley Veterans Affairs Healthcare System, Nashville (J.S.L., J.M.S., M.B.W.) the Center for Research and Innovation in Systems Safety, Vanderbilt University Medical Center (J.S.L., J.M.S., G.W., M.S.S., E.P., M.B.W.) the Departments of Anesthesiology (all authors); Biomedical Informatics (M.B.W.) iostatistics (M.S.S.), Vanderbilt University School of Medicine and Vanderbilt University Medical Center, Nashville, Tennessee.

Background: A nonroutine event is any aspect of clinical care perceived by clinicians or trained observers as a deviation from optimal care based on the context of the clinical situation. The authors sought to delineate the incidence and nature of intraoperative nonroutine events during anesthesia care.

Methods: The authors prospectively collected audio, video, and relevant clinical information on 556 cases at three academic hospitals from 1998 to 2004. Read More

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http://dx.doi.org/10.1097/ALN.0000000000003336DOI Listing

"Nonroutine Events" as a Nonroutine Outcome for Perioperative Systems Research.

Anesthesiology 2020 May 7. Epub 2020 May 7.

From the Department of Anesthesiology and Critical Care, Perelman School of Medicine, Center for Perioperative Outcomes Research and Transformation, and Center for Healthcare Improvement and Patient Safety, University of Pennsylvania, Philadelphia, Pennsylvania (M.B.L.-F.) Department of Health Systems and Sciences Research, College of Nursing and Health Professions, and Department of Information Science, College of Computing and Informatics, Drexel University, Philadelphia, Pennsylvania (E.J.B.).

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http://dx.doi.org/10.1097/ALN.0000000000003125DOI Listing

LMA® Gastro™ Airway for endoscopic retrograde cholangiopancreatography: a retrospective observational analysis.

BMC Anesthesiol 2020 May 13;20(1):113. Epub 2020 May 13.

Discipline of Acute Care Medicine, The University of Adelaide, Adelaide, South Australia, Australia.

Background: Various airway techniques have been employed for endoscopic procedures, with an aim to optimise patient outcomes by improving airway control and preventing hypoxia whilst avoiding the need for intubation. The LMA® Gastro™ Airway, a novel dual channel supraglottic airway technique, has been described as such a device. Its utility alongside sedation with low flow nasal cannula and general anaesthesia (GA) with intubation for endoscopic retrograde cholangiopancreatography (ERCP) procedures was evaluated. Read More

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http://dx.doi.org/10.1186/s12871-020-01019-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7218825PMC

Retrospective evaluation of pain in patients with coccydynia who underwent impar ganglion block.

BMC Anesthesiol 2020 May 11;20(1):110. Epub 2020 May 11.

Department of Anesthesiology, Balıkesir University Health Application and Research Hospital, 10100, Balikesir, Turkey.

Background: We aimed to evaluate pain scores one year after impar ganglion block in patients with coccydynia who did not benefit from conservative treatment.

Methods: The medical records of 29 patients with coccydynia were reviewed. Patients who were referred to the algology clinic and underwent impar ganglion blocks were retrospectively evaluated. Read More

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http://dx.doi.org/10.1186/s12871-020-01034-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7212553PMC

Anemia and perioperative mortality in non-cardiac surgery patients: a secondary analysis based on a single-center retrospective study.

BMC Anesthesiol 2020 May 11;20(1):112. Epub 2020 May 11.

Department of Breast thyroid surgery, Shenzhen Breast Cancer Research and Treatment Research Center, Peking University Shenzhen Hospital, 1120 Lianhua Road, Futian District, Shenzhen, 518000, Guangdong, China.

Background: Evidence regarding the relationship between anemia and perioperative prognosis is controversial. The study was conducted to highlight the specific relationship between anemia and perioperative mortality in non-cardiac surgery patients over 18 years of age.

Methods: This study was a retrospective analysis of the electronic medical records of 90,784 patients at the Singapore General Hospital from January 1, 2012 to October 31, 2016. Read More

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http://dx.doi.org/10.1186/s12871-020-01024-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7212669PMC

Does the revised intubating laryngeal tube (ILTS-D2) perform better than the intubating laryngeal mask (Fastrach)? - a randomised simulation research study.

BMC Anesthesiol 2020 May 11;20(1):111. Epub 2020 May 11.

Department of Anaesthesiology, Medical Centre of the Johannes Gutenberg University, Langenbeckstr. 1, 55131, Mainz, Germany.

Background: The intubating laryngeal tube (ILTS-D™) and the intubating laryngeal mask (Fastrach™) are devices that facilitate both extraglottic application and blind tracheal intubation. A revised model of the iLTS-D (for scientific reasons called ILTS-D2) has been designed but not yet evaluated. Therefore, we compared the ILTS-D2 with the established Fastrach under controlled conditions in a prospective randomised controlled simulation research study. Read More

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http://dx.doi.org/10.1186/s12871-020-01029-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7212614PMC

A case of an unexpected posterior mediastinal functional paraganglioma: case report and literature review.

BMC Anesthesiol 2020 May 8;20(1):109. Epub 2020 May 8.

Department of Anesthesiology, the Fourth Affiliated Hospital of Zhejiang University School of Medicine, N1 Shangcheng Road, Yiwu, Zhejiang Province, China.

Background: Paraganglioma can be found in a wide range of locations. However, paraganglioma in the posterior mediastinum is rare. An unexpected paraganglioma located in the posterior mediastinum was found during surgery. Read More

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http://dx.doi.org/10.1186/s12871-020-01026-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7206672PMC

Ketamine and Magnesium for Refractory Neuropathic Pain: A Randomized, Double-blind, Crossover Trial.

Anesthesiology 2020 May 6. Epub 2020 May 6.

From University Hospital Clermont-Ferrand, Inserm CIC 1405, Clinical Pharmacology Department, F-63000 Clermont-Ferrand, France (G.P., V.M., A.C., F.G.) Clermont Auvergne University, Inserm 1107, F-63000 Clermont-Ferrand, France (G.P.) University Hospital Clermont-Ferrand, Clinical Research and Innovation Department, F-63000 Clermont-Ferrand, France (B.P., C.L.) University Hospital of Clermont-Ferrand, Assessment and Treatment of Pain Center, F-63000 Clermont-Ferrand, France (F.M., A.B.-B., E.C., N.D.) University Hospital Clermont-Ferrand, Clinical Research/Temporary Authorization Department, F-63000 Clermont-Ferrand, France (L.B.).

Background: Ketamine is often used for the management of refractory chronic pain. There is, however, a paucity of trials exploring its analgesic effect several weeks after intravenous administration or in association with magnesium. The authors hypothesized that ketamine in neuropathic pain may provide pain relief and cognitive-emotional benefit versus placebo and that a combination with magnesium may have an additive effect for 5 weeks. Read More

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http://dx.doi.org/10.1097/ALN.0000000000003345DOI Listing

A case report of fatal disseminated fungal sepsis in a patient with ARDS and extracorporeal membrane oxygenation.

BMC Anesthesiol 2020 May 7;20(1):107. Epub 2020 May 7.

Department of Anesthesiology and Intensive Care Medicine, Intensivstation 39, Tübingen University Hospital, Eberhard-Karls-University, Hoppe-Seyler-Str. 3, 72076, Tübingen, Germany.

Background: With the following report we want to present an unusual case of a patient suffering from acute respiratory distress syndrome with early discovery of bacterial pathogens in bronchoalveolar liquid samples that developed a fatal undiscovered disseminated fungal infection.

Case Presentation: A 67-year-old man was admitted to our university hospital with dyspnea. Progressive respiratory failure developed leading to admission to the intensive care unit, intubation and prone positioning was necessary. Read More

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http://dx.doi.org/10.1186/s12871-020-01031-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7203726PMC

Association of intraoperative hyperglycemia and postoperative outcomes in patients undergoing non-cardiac surgery: a multicenter retrospective study.

BMC Anesthesiol 2020 May 7;20(1):106. Epub 2020 May 7.

Department of Anesthesiology, University of Michigan Medical School, H247 UH, SPC 5048, 1500 East Medical Center Drive, Ann Arbor, MI, 48109-5048, USA.

Background: While pre and postoperative hyperglycemia is associated with increased risk of surgical site infection, myocardial infarction, stroke and risk of death, there are no multicenter data regarding the association of intraoperative blood glucose levels and outcomes for the non-cardiac surgical population.

Methods: We conducted a retrospective cohort study from the Michigan Surgical Quality Collaborative, a network of 64 hospitals that prospectively collects validated data on surgical patients for the purpose of quality improvement. We included data for adult general, vascular, endocrine, hepatobiliary, and gastrointestinal operations between 2013 and 2015. Read More

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http://dx.doi.org/10.1186/s12871-020-01022-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204240PMC

Correlation and variation of cuff inflating volumes and pressures in different adult models of laryngeal mask: a prospective randomized trial.

BMC Anesthesiol 2020 May 7;20(1):108. Epub 2020 May 7.

Department of Anesthesiology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Rajchathewi, Bangkok, 10400, Thailand.

Background: Hyperinflation of laryngeal mask cuffs may carry the risk of airway complications. The manufacturer recommends inflating cuff until the intracuff pressure reaches 60 cmHO, or inflate with the volume of air to not exceed the maximum recommended volume. We prospectively assessed the correlation of cuff inflating volumes and pressures, and the appropriated the cuff inflating volumes to generate an intracuff pressure of 60 cmHO in the adult laryngeal masks from different manufacturers. Read More

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http://dx.doi.org/10.1186/s12871-020-01028-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7206679PMC

Intubation and Ventilation amid COVID-19: Reply.

Anesthesiology 2020 May 8. Epub 2020 May 8.

Shanghai Fourth People's Hospital, Tongji University School of Medicine, Shanghai, China (L.X.).

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http://dx.doi.org/10.1097/ALN.0000000000003375DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7223572PMC